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of <br />Event Permit Application <br />Hugo City Hall, 14669 Fitzgerald Avenue North, Hugo, MN 55038 - Phone (651) 762-6300 - FAX (651) 426-2859 <br />Application Fee: $75.00 <br />PAID -3, -q - i <br />APPLICANT <br />Name: <br />Address: j 7a0 '�_ A) R)42 -3t J J l yc <br />Phone: to z/g"z///� FAX: Q -)SI -7)9-7%S EEmail:bfgck:5�4;;;/bva/,C'd""- <br />Signatures Date:3/ 9/�(" <br />EVENT INFORMATION <br />Address: I /(% Fcyx s �- 63/ Zd <br />Date: <br />PROPERTY OWNER/MANAGER <br />Name: <br />Address: / %�1/0 <br />Phone: �UJ�I /lo ��-ivi FAX: (�I /1 q' / �� Email: C.v4.11 S 4 /DO.;,,, <br />Signature: CZ 0 Date: 6) / `1 / /c <br />DESCRIPTION OF EVENT <br />Please review the items on the check list on the back of the application for information that is required to make this application <br />complete. If there is not enough room below to describe the event please submit on a separate sheet of paper. <br />too, l 9Y9 01?w't Ao 'ion S X? <br />DCIV dsV a /t 5 <br />S lMPe;f� <br />